# SURGEON & ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801119201
- **Authorized official:** FREDERICK D SURGEON (OWNER)
- **Authorized official phone:** (910) 733-0617

## Contact information

- **Practice address:** 1892 TURNPIKE RD, RAEFORD, NC 28376-8520
- **Practice address phone:** (910) 733-0617
- **Practice address fax:** (850) 515-0260
- **Mailing address:** 1125 PONY DR, HOPE MILLS, NC 28348-9159
- **Mailing address phone:** (910) 733-0617
- **Mailing address fax:** (850) 515-0260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2010
- **Last updated:** 03/12/2010
